A 50-year-old male with 10-year Framingham CVD risk of 12% is considered to have:
- A Intermediate risk (10–20%): lifestyle modifications with consideration of statin therapy ✓
- B Low risk (<10%): lifestyle changes only
- C High risk (>20%): statin therapy mandatory
- D Very high risk (>30%): immediate cardiac catheterization
Correct answer: A. Intermediate risk (10–20%): lifestyle modifications with consideration of statin therapy
Explanation
Framingham 10-year CVD risk stratification: Low risk <10% (lifestyle modifications, no pharmacotherapy needed for primary prevention); Intermediate risk 10–20% (intensive lifestyle counseling, shared decision-making regarding statin therapy); High risk >20% (statin therapy along with lifestyle modifications). A 12% score falls in the intermediate risk category. This classification guides primary prevention decisions in both clinical and community medicine contexts, including NPCDCS NCD clinic management protocols.
Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.
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